101174(b)(2) · Disaster and Mass Casualty Plan (b) The plan shall be subject to review by the Department and shall include: (2) Contingency plans for action during fires, floods and earthquakes including, but not limited to, the following

Deficient Practice Statement Based on LPA's observation and the Director confirming she did not have a written contigency plans for actions during fire, floods and earthquakes. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/13/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101216(g)(1) · Personnel Requirements (1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.

Deficient Practice Statement Based on four staff (S1-S3 & CD) records reviewed at 10:45am which revealed S3's record did not contain Health Screening (LIC 503). The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/13/2022

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101217(a)(6) · Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (6) Documentation of the educational background, training and/or experience specified in this chapter.

Deficient Practice Statement Based on four staff (S1-S3 & CD) records reviewed at 10:45am which revealed S1-S3's records were either missing or had various incomplete licensing forms. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/13/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101229.1(a)(1) · Sign In and Sign Out (a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.

Deficient Practice Statement Based on a review of the children's sign in/out procedure which confirmed several children had not been signed out on various dates. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/13/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101227(a)(6) · Food Service (6) Menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative. Copies of the menus as served shall be dated and kept on file for at least 30 days. Menus shall be made available for review by the child's authorized representative and the Department upon request.

Deficient Practice Statement Based on LPA's observation and Center Director's statement confirming she had not produce and/or posted a written menu that was at least week in davance. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/13/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101429(a)(2)(B) · Responsibility for Providing Care and Supervision for Infants (B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following

Deficient Practice Statement Based on the Director not furnishing evidence to prove that staff had/were conducting 15 minute checks while a child (C5) under 24 months slept/napped. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/13/2022

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101439.1(b) · Infant Care Center Sleeping Equipment (b) A crib or portable -crib meeting United States Consumer Product Safety Commission safety standards shall be provided for each infant who is unable to climb out of a crib.

Deficient Practice Statement Based on LPA observation of not seeing a crib and an interview with S3 which confirmed C5 could not climb out of a crib and C5 napped on a cot. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/13/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101419.2(a) · Prior to the infant's first day at the center, the infant care center director or assistant director shall complete a needs and services plan for the infant.

Deficient Practice Statement Based on eight children's (C1-C8) records reviewed at 10:45am and interview with Director and S3 confirming a child under 24 months old did not have an Infant Needs & Service Plan on file. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/13/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.